Quantitative regression analysis of the cutaneous vascular territories in a rat model
详细信息    查看全文
  • 作者:Youlun Tao (1)
    Siwang Hu (1)
    Koonhei W. Lui (1)
    Shaohe Chen (1)
    Maolin Tang (1)
    Shixin Chen (1)
  • 关键词:Rat ; Cutaneous artery ; Angiography ; Regression analysis ; Perforator flap ; Surgical flap
  • 刊名:Surgical and Radiologic Anatomy
  • 出版年:2011
  • 出版时间:November 2011
  • 年:2011
  • 卷:33
  • 期:9
  • 页码:789-799
  • 全文大小:2353KB
  • 参考文献:1. Ahmed SS, Pierce J, Reid M et al (1997) A new experimental model: the vascular pedicled cutaneous flap over the mid-dorsum of the rat. Ann Plast Surg 39:495-99 CrossRef
    2. Aydin MA, Mavili ME (2003) Examining microcirculation improves the angiosome theory in explaining the delay phenomenon in a rabbit model. J Reconstr Microsurg 19:187-94 CrossRef
    3. Bergeron L, Tang M, Morris SF (2007) The anatomical basis of the deep circumflex iliac artery perforator flap with iliac crest. Plast Reconstr Surg 120:252-58 CrossRef
    4. Blondeel PN, Boeckx WD (1994) Refinements in free flap breast reconstruction: the free bilateral deep inferior epigastric perforator flap anastomosed to the internal mammary artery. Br J Plast Surg 47:495-01 CrossRef
    5. Blondeel PN, Van Landuyt KH, Monstrey SJ et al (2003) The “Gent-consensus on perforator flap terminology: preliminary definitions. Plast Reconstr Surg 112: 1378-383; quiz 1383, 1516; discussion 1384-377
    6. Celik N, Wei FC, Lin CH et al (2002) Technique and strategy in anterolateral thigh perforator flap surgery, based on an analysis of 15 complete and partial failures in 439 cases. Plast Reconstr Surg 109: 2211-216; discussion 2217-218
    7. Cormack GC, Lamberty BG (1986) Cadaver studies of correlation between vessel size and anatomical territory of cutaneous supply. Br J Plast Surg 39:300-06 CrossRef
    8. Cormack GC, Lamberty BGH (1994) The arterial anatomy of skin flaps, 2nd ed. Churchill-Livingstone, Edinburgh
    9. Geddes CR, Morris SF, Neligan PC (2003) Perforator flaps: evolution, classification, and applications. Ann Plast Surg 50:90-9 CrossRef
    10. Jacques SL (2010) Optical assessment of cutaneous blood volume depends on the vessel size distribution: a computer simulation study. J Biophotonics 3:75-1 CrossRef
    11. Kim JT, Koo BS, Kim SK (2001) The thin latissimus dorsi perforator-based free flap for resurfacing. Plast Reconstr Surg 107:374-82 CrossRef
    12. Koshima I, Inagawa K, Urushibara K et al (1998) Paraumbilical perforator flap without deep inferior epigastric vessels. Plast Reconstr Surg 102:1052-057 CrossRef
    13. Koshima I, Inagawa K, Yamamoto M et al (2000) New microsurgical breast reconstruction using free paraumbilical perforator adiposal flaps. Plast Reconstr Surg 106:61-5 CrossRef
    14. Koshima I, Soeda S (1989) Inferior epigastric artery skin flaps without rectus abdominis muscle. Br J Plast Surg 42:645-48 CrossRef
    15. Kroll SS, Rosenfield L (1988) Perforator-based flaps for low posterior midline defects. Plast Reconstr Surg 81:561-66 CrossRef
    16. Lui KW, Hu S, Ahmad N et al (2009) Three-dimensional angiography of the superior gluteal artery and lumbar artery perforator flap. Plast Reconstr Surg 123:79-6 CrossRef
    17. Marks NJ (1985) Quantitative analysis of skin flap blood flow in the rat using laser Doppler velocimetry. J R Soc Med 78:308-14
    18. Marks NJ, Trachy RE, Cummings CW (1984) Dynamic variations in blood flow as measured by laser Doppler velocimetry: a study in rat skin flaps. Plast Reconstr Surg 73:804-10 CrossRef
    19. McGregor IA, Morgan G (1973) Axial and random pattern flaps. Br J Plast Surg 26:202-13 CrossRef
    20. Miyamoto S, Minabe T, Harii K (2008) Effect of recipient arterial blood inflow on free flap survival area. Plast Reconstr Surg 121:505-13 CrossRef
    21. Miyamoto S, Takushima A, Okazaki M et al (2008) Relationship between microvascular arterial anastomotic type and area of free flap survival: comparison of end-to-end, end-to-side, and retrograde arterial anastomosis. Plast Reconstr Surg 121:1901-908 CrossRef
    22. Rozen WM, Buckland A, Ashton MW et al (2009) Image-guided, stereotactic perforator flap surgery: a prospective comparison of current techniques and review of the literature. Surg Radiol Anat 31:401-08 CrossRef
    23. Rozen WM, Grinsell D, Koshima I et al (2010) Dominance between angiosome and perforator territories: a new anatomical model for the design of perforator flaps. J Reconstr Microsurg 26:539-45 CrossRef
    24. Saint-Cyr M, Schaverien M, Arbique G et al (2008) Three- and four-dimensional computed tomographic angiography and venography for the investigation of the vascular anatomy and perfusion of perforator flaps. Plast Reconstr Surg 121:772-80 CrossRef
    25. Saint-Cyr M, Schaverien MV, Rohrich RJ (2009) Perforator flaps: history, controversies, physiology, anatomy, and use in reconstruction. Plast Reconstr Surg 123:132e-45e CrossRef
    26. Scheufler O, Exner K, Andresen R (2004) Investigation of TRAM flap oxygenation and perfusion by near-infrared reflection spectroscopy and color-coded duplex sonography. Plast Reconstr Surg 113: 141-52; discussion 153-45
    27. Smith PJ, Foley B, McGregor IA et al (1972) The anatomical basis of the groin flap. Plast Reconstr Surg 49:41-7 CrossRef
    28. Syed SA, Tasaki Y, Fujii T et al (1992) Cutaneous vascular anatomy of the thoracic region of the dorsum and its role in flap design in the rat. Ann Plast Surg 29:420-24 CrossRef
    29. Tang M, Mao Y, Almutairi K et al (2009) Three-dimensional analysis of perforators of the posterior leg. Plast Reconstr Surg 123:1729-738 CrossRef
    30. Tang M, Yang D, Geddes CR et al (2006) Anatomical techniques. In: Blondeel PN, Morris SF, Hallock GG, Neligan PC (eds). Perforator flaps: anatomy, technique and clinical applications. Quality Medical Publishing (QMP), St. Louis, pp 53-7
    31. Taylor GI, Minabe T (1992) The angiosomes of the mammals and other vertebrates. Plast Reconstr Surg 89:181-15 CrossRef
    32. Taylor GI, Palmer JH (1987) The vascular territories (angiosomes) of the body: experimental study and clinical applications. Br J Plast Surg 40:113-41 CrossRef
    33. Taylor GI, Palmer JH (1992) Angiosome theory. Br J Plast Surg 45:327-28 CrossRef
    34. Yang D, Morris SF (1999) An extended dorsal island skin flap with multiple vascular territories in the rat: a new skin flap model. J Surg Res 87:164-70 CrossRef
  • 作者单位:Youlun Tao (1)
    Siwang Hu (1)
    Koonhei W. Lui (1)
    Shaohe Chen (1)
    Maolin Tang (1)
    Shixin Chen (1)

    1. Department of Anatomy, Wenzhou Medical College, Wenzhou University-Town, Wenzhou, Zhejiang, 325035, China
文摘
Background The rat skin flap model has been widely used in experimental flap survival studies; however, most of these have been qualitative studies. The purpose of this study was to investigate the quantitative relationship between the diameter of a cutaneous artery and the area of skin that it supplies, and also to explore the factors that influence this relationship. Methods Thirty rats were injected with lead oxide and gelatin and then radiographed. Computer imaging of the diameter and the area of blood supply of the cutaneous artery were made to investigate the mathematical relationship between the arterial diameter and its perfusion area. Angiograms were assembled using Adobe Photoshop and analyzed with Scion Image and SPSS software. Results The blood vessels had an average diameter of 0.53?±?0.12?mm, perimeter of 18.74?±?4.84?cm, vascular density of 391.31?±?76.58 gray value/pixel?cm, vascular territory of 22.32?±?10.04?cm2 and supplying volume of 4.88?±?3.02?cm3. There was a positive correlation between the diameter and the perimeter of the vascular territory, and the area and volume of the vascular territory. The linear regression equation was y?=?32.44x?+?1.23 [y: nutrition region perimeter (cm), x: cutaneous artery diameter (mm)], y?=?72.70x?5.93 [y: supplying area (cm2), x: cutaneous artery diameter (mm)] and y?=?20.36x?.83 [y: supplying volume (cm3), x: cutaneous artery diameter (mm)], respectively. Conclusions Based on this data, it is postulated that the size of reliable skin flaps can be calculated by the diameter and the distribution patterns of the cutaneous artery. With the same diameter, the area of the flap supplied by branch-style artery is larger than the one supplied by the axial artery.

© 2004-2018 中国地质图书馆版权所有 京ICP备05064691号 京公网安备11010802017129号

地址:北京市海淀区学院路29号 邮编:100083

电话:办公室:(+86 10)66554848;文献借阅、咨询服务、科技查新:66554700